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Virginia rates for HCPCS 92316

Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyes

Facilitymedian $45 · 10th–90th $30–$1320%5%10%10th90th$45Professionalmedian $69 · 10th–90th $27–$1320%10%10th90th$69$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $69.18 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $81.28 / $177.83
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $72.44 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $107.15 / $134.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $95.50
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $79.43 / $144.54
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $54.95
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $47.86 / $102.33